Role of surrogate risk biomarkers for cardiovascular risk prediction in chronic kidney patients
Keywords:
CKD, cardiovascular disease, H-FABP, CIMT, ACRAbstract
Background: Biomarkers are quantifiable and repeatable biological indicators and some of them are used to predict cardiovascular events in individuals with chronic renal illness. Objectives: To assess, surrogate risk biomarkers like H-FABP, CIMT, serum albumin and A/C ratio in development of cardiovascular disease in stage III and stage IV CKD patients. Methods: It is a case control study, with sample size each of hundred cases and controls who were recruited from Nephrology department and present with chronic kidney disease – stage III / IV. B-model ultrasonography was employed for CIMT evaluation. H-FABP would be estimated using ELISA. Serum albumin in blood samples was determined using the bromocresol green. Urinary Albumin/creatinine ratio was expressed as milligram of albumin excreted per gram of urinary creatinine. Results: It was found that, there was a mean increase in the values of H-FABP and CIMT for cases compared to control population. However there was no much increase in mean values for serum albumin to control and case population. Conclusion: use of established and significant laboratory biomarkers like H-FABP, CIMT, ACR, Serum albumin concentration were really proven to be assessing the CKD risk in the general population.
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Beddhu S, Kaysen GA, Yan G, Sarnak M, Agodoa L, Ornt D, Cheung AK, HEMO Study Group. Association of serum albumin and atherosclerosis in chronic hemodialysis patients. Am J Kidney Dis. 2002;40:721–727. [PubMed] [Google Scholar]
Brzosko, S, Lebkowska, U, Malyszko, J, Hryszko, T, Krauze-Brzosko, K, Mysliwiec, M. Intima media thickness of common carotid arteries is associated with traditional risk factors and presence of ischaemic heart disease in hemodialysis patients. Physiol Res. 2005;54:497–504.
Cai, Q, Mukku, VK, Ahmad, M. Coronary artery disease in patients with chronic kidney disease: a clinical update. CurrCardiol Rev. 2013;9:331–339.
Kalantar-Zadeh K, Kilpatrick RD, Kuwae N et al. Revisiting mortality predictability of serum albumin in the dialysis population: time dependency, longitudinal changes and population-attributable fraction. Nephrol Dial Transplant. 2005;20:1880–1888. [PubMed] [Google Scholar]
Kaysen GA, Dubin JA, Muller HG, Rosales L, Levin NW, Mitch WE, HEMO study group. Inflammation and reduced albumin systhesis associated with stable decline in serum albumin in hemodialysis patients. Kidney Int. 2004;65:1408–1415. [PubMed] [Google Scholar]
Lawal OM, Balogun MO, Akintomide AO, et al. Carotid Intima-Media Thickness: A Surrogate Marker for Cardiovascular Disease in Chronic Kidney Disease Patients. Clin Med Insights Cardiol. 2019;13:1179546819852941. Published 2019 Jun 21. doi:10.1177/1179546819852941.
Lestari, W. O. S. W., Syarif, S., Hidayanty, H., Aminuddin, A., & Ramadany, S. (2021). Nutrition education with android-based application media to increase knowledge, attitudes, and behaviors of pregnant women about chronic energy deficiency (KEK). International Journal of Health & Medical Sciences, 4(1), 15-22. https://doi.org/10.31295/ijhms.v4n1.440
Nacimiento MM, Pecoits-Filho R, Qureshi AR et al. The prognostic impact of fluctuating levels of C-reactive protein in Brazilian haemodialysis patients: a prospective study. Nephrol Dial Transplant. 2004;19:2803–2809. [PubMed] [Google Scholar]
Ninomiya T, Perkovic V, de Galan BE, et al. Albuminuria and kidney function independently predict cardiovascular and renal outcomes in diabetes. J Am SocNephrol. 2009;20(8):1813-1821. doi:10.1681/ASN.2008121270
Owen WFJr, Lew NL, Liu Y, Lowrie EG, Lazarus JM. The reduction ratio and serum albumin concentration as predictors of mortality in patients undergoing hemodialysis. N Engl J Med. 1993;329:1001–1006. [PubMed] [Google Scholar]
Preston E, Ellis MR, Kulinskaya E, Davies AH, Brown EA. Association between carotid artery intima-media thickness and cardiovascular risk factors in CKD. Am J Kidney Dis 2005;46:856-62.
Ratnawati, I. G. A. A., Suandayani, N. K. T., & Sutapa, G. N. (2019). The linearity of x-ray devices radiation output and its relationship with patient thickness. International Journal of Physical Sciences and Engineering, 3(3), 1–6. https://doi.org/10.29332/ijpse.v3n3.351
Rezar R, Jirak P, Gschwandtner M, et al. Heart-Type Fatty Acid-Binding Protein (H-FABP) and its Role as a Biomarker in Heart Failure: What Do We Know So Far?. J Clin Med. 2020;9(1):164. Published 2020 Jan 7. doi:10.3390/jcm9010164.
Roberts MA, Hare DL, Ratnaike S, Ierino FL. Cardiovascular biomarkers in CKD: pathophysiology and implications for clinical management of cardiac disease. Am J Kidney Dis. 2006 Sep;48(3):341-60. doi: 10.1053/j.ajkd.2006.06.005. PMID: 16931208.
Shah NR, Dumler F. Hypoalbuminaemia--a marker of cardiovascular disease in patients with chronic kidney disease stages II-IV. Int J Med Sci. 2008;5(6):366-70. doi: 10.7150/ijms.5.366. Epub 2008 Nov 12. PMID: 19015744; PMCID: PMC2583337.
Stein, JH, Korcarz, CE, Hurst, RT. Use of carotid ultrasound to identify subclinical vascular disease and evaluate cardiovascular disease risk: a consensus statement from the American Society of Echocardiography Carotid Intima-Media Thickness Task Force. Endorsed by the Society for Vascular Medicine. J Am SocEchocardiogr. 2008;21:93–111.
Suryasa, I. W., Rodríguez-Gámez, M., & Koldoris, T. (2021). Health and treatment of diabetes mellitus. International Journal of Health Sciences, 5(1), i-v. https://doi.org/10.53730/ijhs.v5n1.2864
Tsirpanlis G, Bagos P, Ioannou D et al. Exploring inflammation in hemodialysis patients: persistent and superimposed inflammation. A longitudinal study. Kidney Blood Press Res. 2004;27:63–70. [PubMed] [Google Scholar]
Zhang L, Zuo L, Wang F, et al. Cardiovascular disease in early stages of chronic kidney disease in a Chinese population. J Am SocNephrol 2007;17:2617-21
Zoungas, S, Ristevski, S, Lightfoot, P. Carotid artery intima-medial thickness is increased in chronic renal failure. ClinExpPharmacol Physiol. 2000;27:639–641.
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